<%@ tag language="java" pageEncoding="ISO-8859-1"%>
<%@taglib uri="http://www.springframework.org/tags" prefix="spring"%>
<%@ taglib uri="http://www.springframework.org/tags/form" prefix="form"%>
<div class="customBox">
	<h2>
		<spring:message code="label.header.personal.data" />
	</h2>
	<div class="block">
		<table>
			<tr>
				<td style="vertical-align: top">
					<table>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.lastName" /></td>
							<td>
								<form:input path="lastName" class="required" 
									style="width: 150px; margin-left: 10px;" />
							</td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.firstName" /></td>
							<td><form:input path="firstName" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.middleName" /></td>
							<td><form:input path="middleName" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.gender" /></td>
							<td align="center">
								<label> 
									<form:radiobutton path="gender" value="Male"  checked="checked" />
									<spring:message code="label.gender.male" />
								</label> 
								<label>
									<form:radiobutton path="gender" value="Female" />
									<spring:message code="label.gender.female" />
								</label>
							</td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.birth" /></td>
							<td>
								<input name="date" class="required" 
									style="width: 130px; margin-left: 0px;" id="datepicker" />
								<img alt="..." src="resources/images/calendar.gif">
							</td>
							<td class="requiredField">*</td>
						</tr>
					</table>
				</td>
				<td style="padding: 20px;"></td>
				<td style="vertical-align: top">
					<table>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.country" /></td>
							<td><form:input path="country" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.region" /></td>
							<td><form:input path="region" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.district" /></td>
							<td><form:input path="district" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.city" /></td>
							<td><form:input path="city" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.street" /></td>
							<td><form:input path="street" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.house" /></td>
							<td><form:input path="house" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
							<td class="requiredField">*</td>
						</tr>
						<tr height="40px" align="right">
							<td class="boldText"><spring:message code="label.flat" /></td>
							<td><form:input path="flat" class="required" 
									style="width: 150px; margin-left: 10px;" /></td>
						</tr>
					</table>
				</td>
			</tr>
		</table>
	</div>
</div>